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Çocuklarda mandibular foramenlerin panoramik radyograflardaki konumu ve okluzal düzlemle ilişkisi

Year 2020, Volume: 7 Issue: 1, 54 - 58, 01.04.2020
https://doi.org/10.15311/selcukdentj.530532

Abstract

Amaç: Mandibular anestezi için inferior alveoler sinir
blokajı (İASB) en yaygın kullanılan anestezi tekniğidir.
Mandibular foramen (MF) pozisyonunun
çocuğun büyüme periyodu boyunca değiştiği bildirilmiştir. Bu çalışmanın amacı,
Türkiye’de
yaşayan 6-13 yaş arası çocuklardan alınan panoramik radyograflarda MF
pozisyonunun araştırılmasıdır.

Gereç ve Yöntemler: Bu
çalışmada, kliniğimizin arşivinden elde edilen 6-13 yaş aralığındaki toplam 150
panoramik radyograf retrospektif olarak değerlendirilmiştir. Radyograflarda
MF’in konumunu tespit
etmek için farklı yaş gruplarında yapılan 3 lineer ölçüm karşılaştırılmıştır. Parametrik test varsayımları
sağlandığında bağımsız grup farklılıklarının
karşılaştırılmasında bağımsız gruplarda t testi ve Tek Yönlü Varyans
Analizi kullanılmıştır. Parametrik test varsayımları sağlanmadığında
ise bağımsız grup farklılıklarının karşılaştırılmasında Mann Whitney
U testi ve Kruskal Wallis Varyans Analizi kullanılmıştır. 

Bulgular: Tüm ölçümlerin, Hellman sınıflamasına göre grup
IIC'den, grup IVA'ya kadar ortalama değerlerinde istatistiksel olarak anlamlı
bir artış gösterdiği görülmüştür (p<0.05).

Sonuçlar: Bulgularımız 7 yaş altındaki çocuklarda mental
foramenin neredeyse okluzyon hizasında olduğunu ve yaş artışıyla kademeli
olarak pozisyonunun, ramus üzerinde daha arkaya ve yukarıya doğru değiştiğini
göstermiştir. Bu bilgi, çocuklarda daha doğru ve etkili İANB için diş hekimlerine
rehber olacaktır.

Anahtar Kelimeler: Çocuk Diş Hekimliği, İnferior alveoler sinir blokajı, Mandibular Foramen,
Panoramik radyografi

References

  • Pereira PN, Fernandes A, Gugisch RC, Zaroni FM, Franco A, Rebellato NLB. Radiographic assessment of the mandibular foramen in children: focus on anesthetic procedures. Arch Oral Res 2013;9(3):279-83.
  • Tsai HH. Panoramic radiographic findings of the mandibular foramen from deciduous to early permanent dentition. J Clin Pediatr Dent 2004;28(3):215-20.
  • Malamed SF. Handbook of Local Anesthesia, 4th edn. India: Elsevier, 2004.
  • Mc Donald RE, Avery DR, Dean JA. Dentistry for child and adolescent, 9th edn. India: Elsevier; 2014.
  • Krishnamurthy NH, Unnikrishnan S, Ramachandra JA, Aral V. Evaluation of Relative Position of Mandibular Foramen in Children as a Reference for Inferior Alveolar Nerve Block using Orthopantamograph. J Clin Diagn Res 2017;11(3):71-4.
  • Poonacha KS, Shigli AL, Indushekar KR. Relative position of the mandibular foramen in different age groups of children: a radiographic study. J Indian Soc Pedod Prev Dent. 2010;28(3):173-8.
  • Afsar A, Haas DA, Rossouw PE, Wood RE. Radiographic localization of mandibular anesthesia landmarks. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1998;86:234‑41.
  • Mohavved T, Makarem A, Imanimoghaddam M, Anbiaee N, Sarrafshirazi AR, Shakeri MT. Locating the mandibular foramen relative to the occlusal plane using panoramic radiography. J Appl Sci 2011;11:573‑8.
  • Shukla RH, Tiku A. Correlation of mandibular foramen to occlusal plane as a clinical guide for inferior alveolar nerve block in children: A digital panoramic radiographic study. Contemp Clin Dent 2018;9:372-5.
  • Olsen NH. Anesthesia for the child patient. J Am Dent Assoc 1956;53:548‑55.
  • Benham NR. The cephalometric position of the mandibular foramen with age. ASDC J Dent Child 1976;43:233‑7.
  • Hwang TJ, Hsu SC, Huang QF, Guo MK. Age changes in location of mandibular foramen. Zhonghua Ya Yi Xue Hui Za Zhi. 1990;9(3):98-103.
  • Farman, AG. Panoramic Radiology: Seminars on Maxillofacial Imaging and Interpretation, New York: Springer Berlin Heidelberg, 2007.
  • Sumer AP, Zengin AZ, Çankaya S, Mercan U. Dijital ve Konvansiyonel Panoramik Radyograflarda Anatomik Yapıların Görünürlülüğünün Değerlendirilmesi. Ondokuz Mayıs Üniversitesi Diş Hekimliği Fakültesi Dergisi, 2012;13(1):25-9.
  • Bishara SE, Abdalla EM, Hoppens BJ. Cephalometric comparisons of dentofacial parameters between Egyptian and North American adolescents. Am J Orthod Dentofacial Orthop. 1990;97(5):413-21.
  • Kanno CM, de Oliveira JA, Cannon M, Carvalho AA. The mandibular lingula's position in children as a reference to inferior alveolar nerve block. J Dent Child (Chic) 2005;72(2):56-60.
  • Bennett CR. Monheim’s Local Anesthesia and Pain Control in Dental Practices. 7th edn. India: CBS Publishers, 1990.
  • Larheim TA, Svanaes DB. Reproducibility of rota¬tional panoramic radiography: mandibular linear dimensions and angles. Am J Orthod Dentofacial Orthop 1986;90(1):45-51.
  • Miglioretti DL, Johnson E, Williams A, Greenlee RT, Weinmann S, Solberg LI, et al. The use of computed tomography in pediatrics and the associated ra¬diation exposure and estimated cancer risk. JAMA Pediatr 2013;167:700-7.

The position of mandibular foramen and its relation to occlusal plane in panoramic radiographs of children

Year 2020, Volume: 7 Issue: 1, 54 - 58, 01.04.2020
https://doi.org/10.15311/selcukdentj.530532

Abstract

Background: Inferior alveolar nerve blockage (IANB) technique is the most widely used anesthetic technique for mandibular anesthesia. The position of the mandibular foramen (MF) has been reported to alter during the growth period of child. The aim of this study is to search the MF position on panoramic radiographs obtained from Turkish children between 6-13 years old.

Methods: A total of 150 panoramic radiographs were evaluated retrospectively. Tree linear measurements in different age groups were compared to determine the position of MF on radiographs. When the parametric test assumptions were provided, independent groups t-test and One-Way Variance Analysis were used to compare the independent group differences. When the parametric test assumptions were not provided, Mann Whitney U test and Kruskal Wallis Variance Analysis were used.

Results: All measurements showed a significant increase in mean values ​​from group IIC to group IVA according to Hellman classification (p <0.05).

Conclusions: Our findings show that the mental foramen is almost at the level of occlusion in children under 7 years old and with the increase in age, the position of MF on the ramus changes to posterior and superior. This information will guide the dentists for more accurate and effective IANB in ​​children.

Keywords: Pediatric Dentistry, Inferior alveolar nerve blockage, Mandibular Foramen, Panoramic radiography

References

  • Pereira PN, Fernandes A, Gugisch RC, Zaroni FM, Franco A, Rebellato NLB. Radiographic assessment of the mandibular foramen in children: focus on anesthetic procedures. Arch Oral Res 2013;9(3):279-83.
  • Tsai HH. Panoramic radiographic findings of the mandibular foramen from deciduous to early permanent dentition. J Clin Pediatr Dent 2004;28(3):215-20.
  • Malamed SF. Handbook of Local Anesthesia, 4th edn. India: Elsevier, 2004.
  • Mc Donald RE, Avery DR, Dean JA. Dentistry for child and adolescent, 9th edn. India: Elsevier; 2014.
  • Krishnamurthy NH, Unnikrishnan S, Ramachandra JA, Aral V. Evaluation of Relative Position of Mandibular Foramen in Children as a Reference for Inferior Alveolar Nerve Block using Orthopantamograph. J Clin Diagn Res 2017;11(3):71-4.
  • Poonacha KS, Shigli AL, Indushekar KR. Relative position of the mandibular foramen in different age groups of children: a radiographic study. J Indian Soc Pedod Prev Dent. 2010;28(3):173-8.
  • Afsar A, Haas DA, Rossouw PE, Wood RE. Radiographic localization of mandibular anesthesia landmarks. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1998;86:234‑41.
  • Mohavved T, Makarem A, Imanimoghaddam M, Anbiaee N, Sarrafshirazi AR, Shakeri MT. Locating the mandibular foramen relative to the occlusal plane using panoramic radiography. J Appl Sci 2011;11:573‑8.
  • Shukla RH, Tiku A. Correlation of mandibular foramen to occlusal plane as a clinical guide for inferior alveolar nerve block in children: A digital panoramic radiographic study. Contemp Clin Dent 2018;9:372-5.
  • Olsen NH. Anesthesia for the child patient. J Am Dent Assoc 1956;53:548‑55.
  • Benham NR. The cephalometric position of the mandibular foramen with age. ASDC J Dent Child 1976;43:233‑7.
  • Hwang TJ, Hsu SC, Huang QF, Guo MK. Age changes in location of mandibular foramen. Zhonghua Ya Yi Xue Hui Za Zhi. 1990;9(3):98-103.
  • Farman, AG. Panoramic Radiology: Seminars on Maxillofacial Imaging and Interpretation, New York: Springer Berlin Heidelberg, 2007.
  • Sumer AP, Zengin AZ, Çankaya S, Mercan U. Dijital ve Konvansiyonel Panoramik Radyograflarda Anatomik Yapıların Görünürlülüğünün Değerlendirilmesi. Ondokuz Mayıs Üniversitesi Diş Hekimliği Fakültesi Dergisi, 2012;13(1):25-9.
  • Bishara SE, Abdalla EM, Hoppens BJ. Cephalometric comparisons of dentofacial parameters between Egyptian and North American adolescents. Am J Orthod Dentofacial Orthop. 1990;97(5):413-21.
  • Kanno CM, de Oliveira JA, Cannon M, Carvalho AA. The mandibular lingula's position in children as a reference to inferior alveolar nerve block. J Dent Child (Chic) 2005;72(2):56-60.
  • Bennett CR. Monheim’s Local Anesthesia and Pain Control in Dental Practices. 7th edn. India: CBS Publishers, 1990.
  • Larheim TA, Svanaes DB. Reproducibility of rota¬tional panoramic radiography: mandibular linear dimensions and angles. Am J Orthod Dentofacial Orthop 1986;90(1):45-51.
  • Miglioretti DL, Johnson E, Williams A, Greenlee RT, Weinmann S, Solberg LI, et al. The use of computed tomography in pediatrics and the associated ra¬diation exposure and estimated cancer risk. JAMA Pediatr 2013;167:700-7.
There are 19 citations in total.

Details

Primary Language Turkish
Subjects Dentistry
Journal Section Research
Authors

Burak Kerem Apaydın 0000-0003-2621-4704

Publication Date April 1, 2020
Submission Date February 21, 2019
Published in Issue Year 2020 Volume: 7 Issue: 1

Cite

Vancouver Apaydın BK. Çocuklarda mandibular foramenlerin panoramik radyograflardaki konumu ve okluzal düzlemle ilişkisi. Selcuk Dent J. 2020;7(1):54-8.